None listed
Conditions
Brief summary
It is known that transition from paediatric to adult care in Type 1 dibetes mellitus is often difficult. Young people are anxious about leaving a familiar service. In adult health care they are 'diluted' where Type 2 diabetes mellitus predominates. Australian figures suggest that up to 50% of young adults with Type 1 diabetes are not in specialist care. Failure to engage with specialist care means poor diabetes care and control, and the risk of medium and long term poor health outcomes. We hypothesise that a comprehensive transition program involving communication, mentoring and health professional support will improvement engagement with adult health care better than current clinic practice.This study aims to determine what resources and support are needed to ensure that successful transition occurs. The literature suggest that it is not enough that young people arrive at their first appointment to an adult service; they need to stay engaged and hence the reason for the longer term nature of the study, following young people for up to 18 months after discharge from paediatric servcies
Interventions
The intervention group will receive a comprehensive transition program which includes comprehensive exit preparation, introduction to the new service (using internet), Health care information transfer in both hard copy and using memory sticks, Communication support between the last paediatric visit and the first adult visit and access to the trial co-ordinator. Individual clinicians within the service may vary in practice and these practices will be recorded. The duration of the intervention is
The intervention group will receive a comprehensive transition program which includes comprehensive exit preparation, introduction to the new service (using internet), Health care information transfer in both hard copy and using memory sticks, Communication support between the last paediatric visit and the first adult visit and access to the trial co-ordinator. Individual clinicians within the service may vary in practice and these practices will be recorded. The duration of the intervention is for 18 months
Sponsors
Professor Kate Steinbeck
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Prevention
Masking
Blinded (masking used)
Eligibility
Sex/Gender
All
Age
16 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Type 1 Diabetes Mellitus. In practice the upper age limit will be less than 20 years but older subjects will be included to 24 years (youth) if they have not been discharged from paediatric care and if they have never seen an adult diabetes service.
Exclusion criteria
Type 2 Diabetes mellitus
Outcome results
None listed